MEDICARE: FAY WEST FAMILY PRACTICE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528007481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAY WEST FAMILY PRACTICE, P.C.

Provider Business Mailing Address
First Line	:	506 ATHENA DR
Second Line	:
City	:	DELMONT
State	:	PA
Zip	:	15626-1005
Country	:	US
Telephone Number	:	724-468-6869
Fax Number	:	724-468-6207

Provider Business Practice Location Address
First Line	:	109 CROSSROADS RD
Second Line	:	SUITE 201
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-2417
Country	:	US
Telephone Number	:	724-887-5989
Fax Number	:	724-887-0129

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	PAUL MEANS
Credential	:	D.O.
Telephone Number	:	724-887-5989

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	06/24/2008

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Directions to “FAY WEST FAMILY PRACTICE, P.C. ” Practice Location

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